Orthogeriatrics in Hip Fracture



Helen Wilson*
Royal Surrey County Hospital, Guildford, United Kingdom


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© 2017 Helen Wilson.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Royal Surrey County Hospital, Guildford, United Kingdom; Tel: 014-83464405; E-mail: hwilson6@nhs.net


Abstract

Orthogeriatrics is a system of care for complex elderly patients who have suffered fragility fractures. This has resulted in demonstrable improvements in care for patients with hip fracture. The article includes a review of the early history of orthogeriatrics as well as current concepts in orthogeriatric care including the use of national databases, audit and important aspects of clinical care such as analgesia, perioperative decision making, ceilings of care and rehabilitation.

Keywords: Hip Fracture, Orthogeriatric, Fragility Fracture, Peri-operative management.